TERI L BROADNAX Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008605

License Status

ACTIVE

Business

First Name

TERI

Middle

Last Name

BROADNAX

Business Name

TERI L BROADNAX

Original Issue Date

12/07/2021

Effective Date

12/09/2025

Expiration Date

10/31/2027

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2025